Experiences of nurses and other health workers participating in a reflective course on compassion-based care

2019 ◽  
Vol 28 (15) ◽  
pp. 1020-1025 ◽  
Author(s):  
Graeme Donald ◽  
Ian Wilson ◽  
Jodie McCarthy ◽  
Ian Hall ◽  
Brenda Crossley ◽  
...  
Keyword(s):  
Mental Health ◽  
Compassion Fatigue ◽  
Health Workers ◽  
Health Staff ◽  
Healthcare Staff ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
North West ◽  
Participant Experience ◽  
Staff Experiences

Background: the risk of compassion fatigue in healthcare staff is real, especially when considering the current financial pressures. A course in compassion-based care (CBC) was delivered to mental health staff at a hospital in north-west England, with the intention of rehabilitating ward culture and, subsequently, improving patient experience. Aims: to explore staff experiences of participating in the CBC course. Methods: a qualitative study using semi-structured interviews with participants (n=12) was conducted. All staff attending the course were eligible and were invited to participate. Interview transcripts were thematically analysed. Findings: five themes characterising participant experience emerged from the data: meeting a need; creating the space; reorientation; prioritising self-care; and influencing team dynamics. Data overwhelmingly indicated the success of the CBC course. Conclusion: the CBC course appeared to have a profound effect on participants; it should be considered for further rollout and evaluation.

scholarly journals Mental health staff views on improving burnout and mental toughness

2017 ◽  
Vol 12 (4) ◽  
pp. 249-259
Author(s):  
Zoe Posner ◽  
Jessie Janssen ◽  
Hazel Roddam
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Nominal Group Technique ◽  
Mental Toughness ◽  
Nominal Group ◽  
Health Staff ◽  
Main Question ◽  
Mental Health Staff ◽  
Content Type ◽  
North West

Purpose Burnout in mental health staff is acknowledged as a major problem. The purpose of this paper is to gain an understanding of mental health staff views on improving burnout and mental toughness in mental health staff. Design/methodology/approach Ten participants from two mental health rehabilitation units across the north-west of England took part in a Nominal Group Technique. Participants consisted of mental health workers from varied roles in order to capture views from a multidisciplinary team. The main question posed to the staff was “What strategies and techniques do you think could help improve burnout and mental toughness in mental health staff”. Findings The study revealed that the top three ideas to take forward to help improve burnout and mental toughness in mental health staff were improving the culture/organisation, improving staff wellbeing and education. Additionally, staff were highly motivated and enthusiastic about engaging in discussion about what could be done to improve their wellbeing and the importance of taking this forward. Originality/value This study is unique in involving mental health staff in discussing their ways of improving their mental health. It is also unique as it has found the nine strategies to do this and these could be used in targeted training for mental health staff.

scholarly journals Staff experiences and perceptions of working with in-patients who are suicidal: qualitative analysis

2017 ◽  
Vol 211 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Yvonne Awenat ◽  
Sarah Peters ◽  
Emma Shaw-Nunez ◽  
Patricia Gooding ◽  
Daniel Pratt ◽  
...  
Keyword(s):  
Suicidal Behaviour ◽  
Suicide Risk ◽  
Health Staff ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
Patient Suicide ◽  
Organisational Support ◽  
Training And Support ◽  
Staff Experiences ◽  
Staff Skills

BackgroundSuicidal behaviour is frequent in psychiatric in-patients and much staff time and resources are devoted to assessing and managing suicide risk. However, little is known about staff experiences of working with in-patients who are suicidal.AimsTo investigate staff experiences of working with in-patients who are suicidal.MethodQualitative study guided by thematic analysis of semi-structured interviews with mental health staff with experience of psychiatric in-patient care.ResultsTwenty Staff participated. All had encountered in-patient suicide deaths or attempts. Three key themes were identified: (a) experiences of suicidality, (b) conceptualising suicidality and (c) talking about suicide.ConclusionsSuicidal behaviour in psychiatric wards has a large impact on staff feelings, practice and behaviour. Staff felt inadequately equipped to deal with such behaviours, with detrimental consequences for patients and themselves. Organisational support is lacking. Training and support should extend beyond risk assessment to improving staff skills in developing therapeutic interactions with in-patients who are suicidal.

Mental Health Staff: to Promote Resilience, to Reduce The Risk of Burnout

2016 ◽  
Vol 33 (S1) ◽  
pp. S486-S486
Author(s):  
N. Semenova ◽  
A. Palin ◽  
I. Gurovich
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Workers ◽  
Intervention Strategy ◽  
Self Report ◽  
Health Staff ◽  
Staff Retention ◽  
Mental Health Staff ◽  
Stressful Environment ◽  
Management Interventions

IntroductionStress and burnout are clearly problems for mental health workers. In this paper, we present data from research study on moderators of burnout in mental health staff.Objectives/aimsThe purpose of this study was to explore the phenomenon of resilience as experienced by Russian mental health clinicians working in a highly demanding, specialized and stressful environment (e.g., staff shortages, health service shortages, not being notified of changes before they occurred).MethodsThe study used a range of self report questionnaires. Measures included a demographic checklist, the Hardiness Survey (Maddi 1984), and the GCOS – The General Causality Orientation Scale (Deci & Ryan 1985). The participants for this study were drawn from Medico-rehabilitation Unit, Psychiatric hospital, – the disciplines of psychiatry, clinical psychology and nursing. In all, 10 ward based mental health professionals were surveyed.ResultsThis paper outlines the results of these measures. This in turn allows us to develop intervention strategy to ensure an effective provision, which depends on satisfied professionals, who have a sense of ownership over what they do and an ability to shape the direction of their endeavours.ConclusionsThe study's findings have the potential to inform organizations in mental health to promote resilience in clinicians, to deliver stress management interventions for staff with the potential to reduce the risk of burnout and hence staff attrition, staff retention and mental health.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Veterans Health Administration staff experiences with suicidal ideation screening and risk assessment in the context of COVID-19

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261921
Author(s):  
Summer Newell ◽  
Lauren Denneson ◽  
Annabelle Rynerson ◽  
Sarah Rabin ◽  
Victoria Elliott ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Suicidal Ideation ◽  
Health Staff ◽  
Veterans Health ◽  
Health Administration ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
Populations At Risk ◽  
Mental Health Settings

Universal screening for suicidal ideation in primary care and mental health settings has become a key prevention tool in many healthcare systems, including the Veterans Healthcare Administration (VHA). In response to the coronavirus pandemic, healthcare providers faced a number of challenges, including how to quickly adapt screening practices. The objective of this analyses was to learn staff perspectives on how the pandemic impacted suicide risk screening in primary care and mental health settings. Forty semi-structured interviews were conducted with primary care and mental health staff between April-September 2020 across 12 VHA facilities. A multi-disciplinary team employed a qualitative thematic analysis using a hybrid inductive/deductive approach. Staff reported multiple concerns for patients during the crisis, especially regarding vulnerable populations at risk for social isolation. Lack of clear protocols at some sites on how to serve patients screening positive for suicidal ideation created confusion for staff and led some sites to temporarily stop screening. Sites had varying degrees of adaptability to virtual based care, with the biggest challenge being completion of warm hand-offs to mental health specialists. Unanticipated opportunities that emerged during this time included increased ability of patients and staff to conduct virtual care, which is expected to continue benefit post-pandemic.

scholarly journals Factors promoting and inhibiting sustained impact of a mental health task-shifting program for HIV providers in Ethiopia

2017 ◽  
Vol 4 ◽  
Author(s):  
D. Jerene ◽  
M. Biru ◽  
A. Teklu ◽  
T. Rehman ◽  
A. Ruff ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Indicators ◽  
Task Shifting ◽  
Health Staff ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
The Face ◽  
Quasi Experimental ◽  
Competing Priorities

Background.Task-shifting mental health into general medical care requires more than brief provider training. Generalists need long-term support to master new skills and changes to work context are required to sustain change in the face of competing priorities. We examined program and context factors promoting sustainability of a mental health task-shifting training for hospital-based HIV providers in Ethiopia.Methods.Convergent mixed-methods quasi-experimental study. Sustained impact was measured by trained/not-trained provider differences in case detection and management 16 months following the end of formal support. Factors related to sustainability were examined through interviews with trained providers.Results.Extent of sustained impact: Trained providers demonstrated modest but better agreement with standardized screeners (greater sensitivity with similar specificity). They were more likely to request that patients with mental health problems return to see them v. making a referral. Factors promoting sustainability (reported in semi-structured interviews): provider belief that the treatments they had learned were effective. New interactions with on-site mental health staff were a source of ongoing learning and encouragement. Factors diminishing sustainability: providers feelings of isolation when mental health partners left for work elsewhere, failure to incorporate mental health indicators into administrative data, to re-stock staff education materials, and to build formal mechanisms for generalist-mental health staff interaction.Conclusions.An intervention seen as feasible and effective, and promotion of relationships across professional lines, helped generalists sustain new skills. Failure to address key system context issues made use of the skills unsustainable as external supports ended.

scholarly journals Spirituality and the mental health professions

2012 ◽  
Vol 36 (7) ◽  
pp. 249-254 ◽  
Author(s):  
Monika Pelechova ◽  
Gilly Wiscarson ◽  
Derek K. Tracy
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Subjective Experience ◽  
Religious Faith ◽  
Science And Religion ◽  
Health Staff ◽  
Religion And Spirituality ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
Personal Support

Aims and methodReligion and spirituality are very important personal aspects of many people's lives. Little work has looked at the beliefs of mental health professionals and how they reconcile or benefit from the potential differences of religious faith and evidence-based mental health practice. This study used semi-structured interviews to qualitatively explore how professionals from different occupations and faiths conceptualise the relationship between their beliefs and their work.ResultsThe commonly cited ‘conflict’ of science and religion was noted, as was the personal support that faith provides for many people. Participants felt their beliefs made them better at their job, not only by reconciling differences from the two paradigms but also by allowing them to recognise compatible attributes of seeking meaning to subjective experience; this had positively influenced their choice of career in mental health. A desire for ongoing opportunity to express and discuss this interface was strongly expressed, but with concern about how this would occur and be perceived.Clinical implicationsThere is a lack of qualitative research on the religious beliefs of mental health staff. In the UK generally, the role of faith in public life is a strongly debated topic in the context of an increasingly secular and yet multicultural and multi-faith society. Our data suggest that professionals' beliefs positively influence their choice of career in mental health and make them feel better equipped to undertake their roles and provide good-quality patient care. There is an expressed need for further opportunities for staff to discuss their beliefs – or lack thereof – and to consider the individual impact of beliefs on their professional life.

Evaluation of a four-week Rehabilitation Assessment program introduced at an Australian Community Care Units setting: mental health consumers and clinicians perspectives

2014 ◽  
Vol 2 (3) ◽  
pp. 359
Author(s):  
Jodie Nguy ◽  
Melissa Petrakis ◽  
Michael Wilson
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Community Care ◽  
Rehabilitation Program ◽  
Case Managers ◽  
Health Staff ◽  
Daily Routine ◽  
Structured Interviews ◽  
Mental Health Staff ◽  
Mental Health Consumers

 Background: Community Care Units (CCUs) are purpose built residential accommodation for adults with severe and enduring mental illness. The CCUs are staffed by clinical mental health staff 24 hours per day and there are consistent guidelines as to the process these programs utilise to prioritise who would most benefit from them. A CCU based in the Inner East of Melbourne, Australia, has utilised one bed as a ‘review program’ to assess patients’ functional livings skills and potential for engagement with the long-term rehabilitation program as part of a general more person-centered healthcare approach.  Aims: The purpose was to evaluate: (1) patient perception of the program and if this benefits their rehabilitation, (2) the perception of clinicians who refer to the program and (3) the perception of clinicians of the CCU multidisciplinary team (MDT).  Method: A purposive sample of patients and clinicians was employed. Semi-structured interviews were conducted with 7 patients who had participated in the review program between January 2010 - April 2012 and an online survey was conducted with responses from 5 case managers who had referred patients and 9 clinicians in the CCU MDT team who had participated in conducting the review. Results: Our results indicated that patients found the process somewhat overwhelming and an adjustment to their daily routine; they were generally unclear as to the rationale for referral to the program. Clinicians found the program to be a useful process in assisting a more in-depth understanding of their patients’ needs.  Conclusion: Results suggest that review and modification to program delivery could enhance patient benefits and enhance more person-centered approaches to care. 

scholarly journals Improving attitudes towards the COVID-19 vaccine in forensic mental health workers: a quality improvement project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S194-S194
Author(s):  
Harrison Howarth ◽  
Toby Stevens ◽  
Benjamin Gostick ◽  
Lisanne Stock ◽  
David Stone
Keyword(s):  
Mental Health ◽  
Health Workers ◽  
Vaccine Uptake ◽  
Health Staff ◽  
Forensic Mental Health ◽  
Mental Health Staff ◽  
Allied Health Professionals ◽  
Improvement Project ◽  
Staff Members ◽  
The Creation

AimsThe primary aim of the project was to improve attitudes towards the COVID-19 vaccine in forensic mental health staff at a large regional tertiary forensic psychiatry unit. The main variable examined was attitudes towards safety of the vaccine. Secondary aims included decreasing misinformation about the vaccine and improving vaccine uptake.MethodPaper questionnaires were distributed to willing staff members across 6 forensic inpatient wards within the North London Forensic Service. Participants included a range of allied health professionals including nurses, health care assistants, ward managers, occupational therapists, assistant therapists and administrative staff. Questionnaires used a mixture of Likert scale for agreement/disagreement with statements and yes/no questions.Plan-Do-Study-Act (PDSA) methodology was utilised in implementing changes, and repeat questionnaires used to measure changes in attitude and behaviour. Change ideas implemented included the creation of ‘mythbusters’ posters which target vaccine misinformation, the creation and distribution of posters of staff members who had already taken their vaccine, the creation of vaccine champions to aid engagement in conversation about the vaccine, vaccine information packs being distributed to all wards and the opportunity for staff to ‘drop-in’ to clinics for information about the vaccine.ResultVaccine uptake improved from 7% before interventions to 69% after interventions.The proportion of people very unlikely or unlikely to get the vaccine reduced from 25% to just 9%. The proportion of those feeling neutral reduced from 32% to 6%. The proportion of those either likely or very likely to get the vaccine increased from 34% to 85%.Before interventions only 20% felt that the vaccine was either safe or very safe. This improved to 63% after interventionsBefore interventions, only 27% of respondents felt they had received enough information by the trust to make an informed decision. After interventions, 80% said they had received enough information.The project was successful in reducing misinformation in every domain. Particularly reassuring was the reduction to zero of some of the most harmful misinformation claims, such as the presence of a tracking chip in the vaccine and the belief that COVID does not exist.71% of respondents indicated the interventions we set out changed their view on the COVID-19 vaccine.ConclusionThe changes implemented lead to clear improvements in all domains measured, suggesting targeted information is an effective strategy in improving uptake and attitudes around the vaccination program.

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